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Sanitary sewer overflow

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Through Sewage, Sewage treatment and Rain

SSOs can cause gastrointestinal illnesses (waterborne diseases), beach closures and restrictions on fish and shellfish consumption.

Magnitude of the problem

Developed countries such as the United States, Canada, most Western European nations (e.g. Italy and France), Australia, Singapore, South Korea and Japan are struggling with public health problems of SSO prevention. The magnitude of the problem is much greater in most developing countries.

United States

The U.S. Environmental Protection Agency (EPA) estimates that at least 23,000 to 75,000 SSO events occur in the United States each year. EPA estimated that upgrading every municipal treatment and collection system to reduce the frequency of overflow events to no more than once every five years would cost about $88 billion as of 2004. This cost would be in addition to approximately $10 billion already invested. Although the volume of untreated sewage discharged to the environment is less than 0.01 percent of all treated sewage in the United States, the total volume amounts to several billion gallons per annum and accounts for thousands of cases of gastrointestinal illness each year.

Worldwide perspective

Developed European countries and Japan have similar or somewhat larger percentages of SSO events compared to the U.S.

In developing countries, most wastewater is still not treated when discharged into the environment. The People's Republic of China discharged about 55 percent of all sewage without treatment of any type, as of 2001. In a relatively developed Middle Eastern country such as Iran, the majority of Tehran's population has totally untreated sewage injected to the city's groundwater. In Venezuela, a below-average country in South America with respect to wastewater treatment, 97 percent of the country's sewage is discharged untreated into the environment.

In many countries there are obligations to measure and report SSO occurrence using real-time telemetry to warn the public, bathers and shellfishery operators.

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